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Application For Admission To Post Basic B.Sc Nursing Course

*
Expansion of Initial(s)
Age and Date of Birth *
Sex* Male Female
Marital Status *
Caste and Religion
Name of the Parent/Guardian/Spouse
Occupation of the Parent/Guardian/Spouse
Annual Income
Nationality
E-mail *
Mobile/Telephone *
Address for Communication *
Permanent Address*
Address of the Parent/Guardian/Spouse
Are you phisically Handicaped Yes No
Do you need Hostel Accommodation * Yes No
Details of the Qualifying Examination  
Reg .No./Month/Year *
School/College*
Board /University *
Subject wise marks of S.S.L.C *
 
Subject Maximum Marks Marks Obtained % of Marks
Physics


Chemistry


Biology


Total


Subject wise marks of +2 *
 
Subject
Maximum Marks
Marks Obtained
% of Marks
Physics


Chemistry


Biology


Total


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